Stormwater- Checklist

Facility Name: EINCK DAIRY, INC. - CONSTRUCTION ACTIVITIES

Permit Type: GP #2 - Construction Activity Legal Status: Private     File No: 21938   Authorization No: 21938-21700

Expiration Date: 6/1/2013 (discontinued) Address: 1140 227TH AVE. - FORT ATKINSON , IA 52144

County: WINNESHIEK Field Office: 1 SIC: Geospatial Information: 593630(X)/4772583(Y)

Checklist Checklist Completed. Automatic Update NOI Received Fee Correct Facility Info PPP Developed Location Info PPP Comply Outfall Info Public Notice Received   Contact Info Public Notice Complete   Permit Type Info Signature   Fee Paid File Memo   Fee Memo